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MODIFIED BALLOON VAGINOPLASTY: THE FASTEST WAY TO CREATE A NATURAL NEOVAGINA: MINOR CHANGES IN TECHNIQUE ELIMINATE THE NEED FOR CUSTOMIZED INSTRUMENTS

Research Authors
Ali M. El Saman; Mohamed M.F. Fathalla; Mahmoud S. Zakherah; Omar M. Shaaban; Ahmed Nasr
Research Journal
Am J Obstet Gynecol
Research Publisher
NULL
Research Rank
1
Research Vol
201(5_)
Research Website
NULL
Research Year
2009
Research_Pages
546.e1-5
Research Abstract

We studied the feasibility of performing balloon vaginoplasty (BV) with conventional laparoscopic instruments through 2 modified techniques aiming at providing BV for open use. Three of 6 cases with vaginal aplasia were offered modified laparoscopically assisted balloon vaginoplasty (LAB-V) and the other 3 cases underwent modified retropubic balloon vaginoplasty (RBV). We measured operative time, complications, anatomical outcomes, functional outcomes, and re-intervention rates. Modified RBV and LAB-V were performed successfully in the 6x cases within 9-12 and 29-38 min, respectively. The neovagina depths were 8-10 and 9-12 cm, respectively. Anterior rectal wall needle puncture was encountered in 1 case of LAB-V group and posterior urethral wall puncture in an abnormally dilated urethra in 1 case of the RBV group; both cases passed uneventfully. Intercourse was initiated after removal of all catheters. The neovagina was a cosmetically appealing mimic to nature and stained with iodine up to its apex. It was feasible to perform balloon vaginoplasty operations without specialized instrument sets with comparable outcomes.